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Four Square Step Test

Assess your patient’s dynamic balance and coordination with the Four Square Step Test (FSST). Click here to get a free template and guide!

Patricia Buenaventura avatar

By Patricia Buenaventura on Aug 2, 2025.

Fact Checked by Nate Lacson.

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Four Square Step Test Template

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Commonly asked questions

If negative is equivalent to a failed test, a test has a negative result if the patient fails to do the test even after two attempts. The interpretation of this result is that the patient has an increased risk of falls.

On the other hand, a positive test doesn’t only mean that the patient was able to do the test successfully but they must also be able to complete the test in less than 15 seconds without assistance. The interpretation then of this result is that they are not at risk for falls.

To perform the Four Square Step Test, you will only need to prepare the set-up, equipment, and template for a guide on how to conduct the test. For a more comprehensive step-by-step, please refer to the “How does this Four Square Step Test” work section above.

Dite and Temple developed the Four Square Step Test.

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